Age at Surgery and Outcomes of an Undescended Testis

Pediatrics
Francisco Javier SchneuerNatasha Nassar

Abstract

Undescended testis (UDT) is the most common genital anomaly in boys. Current guidelines recommend surgery before 12 months of age to maximize fertility and potentially reduce the risk of future malignancy. We investigated the prevalence of UDT and examined rates of surgery and age at surgery in an Australian population. UDT was identified from all live-born infants in New South Wales, Australia, from 2001 to 2011 using routinely collected record-linked birth and hospital data. The prevalence of UDT, surgery rates, age at surgery, postsurgical outcomes, and risk factors for surgery performed later than the recommended age were evaluated. There were 10 875 (2.1%) boys with a recorded diagnosis of UDT. Corrective surgery was performed in 4980 (45.8%), representing a cumulative prevalence of 9.6 per 1000 male births. Five percent of surgeries were orchidectomies, and 9% of boys had revision surgery. Median age at surgery was 16.6 months (interquartile range 11.8 to 31.0 months), decreasing from 21 months for boys born in 2001 to 13 months for boys born in 2010. Among those boys having surgery before 36 months (n = 3897), 67% had corrective surgery after the recommended 12 months of age; socioeconomic disadvantage, regional/remote a...Continue Reading

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Citations

May 4, 2016·Current Opinion in Pediatrics·Andrew J A HollandFrancisco J Schneuer
Mar 4, 2020·Pediatrics in Review·Wayland J Wu, Jordan S Gitlin
Apr 12, 2017·Birth Defects Research·Francisco J SchneuerNatasha Nassar
Apr 7, 2020·Clinical and Experimental Pediatrics·Jaeho Shin, Ga Won Jeon
Dec 2, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Christina Oetzmann von Sochaczewski, Oliver J Muensterer
Feb 9, 2021·Journal of Pediatric Urology·Nikhil V BatraChristopher E Bayne
Nov 16, 2020·Journal of Pediatric Surgery·Khaled Al-OmarClaudio Spinelli
Feb 28, 2021·Molecular and Cellular Endocrinology·Rashid A Aldahhan, Peter G Stanton
Jun 14, 2020·The Journal of Pediatrics·Philip BoehmeKai O Hensel
Apr 16, 2021·PloS One·Pierre BougnèresAlain-Jacques Valleron
Oct 2, 2017·Journal of Pediatric Surgery·Jaya VikramanJohn M Hutson
Dec 18, 2021·Tropical Doctor·Mamta SengarAnup Mohta

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